Neighbourhoods and self rated health: a comparison of public sector employees in London and Helsinki

Study objective: Mortality and morbidity vary across neighbourhoods and larger residential areas. Effects of area deprivation on health may vary across countries, because of greater spatial separation of people occupying high and low socioeconomic positions and differences in the provision of local services and facilities. Neighbourhood variations in health and the contribution of residents' characteristics and neighbourhood indicators were compared in London and Helsinki, two settings where inequality and welfare policies differ.Design: Data from two cohorts were used to investigate associations between self rated health and neighbourhood indicators using a multilevel approach.Setting: London and Helsinki.Participants: From the Whitehall II study (London, aged 39-63) and the Helsinki health study (aged 40-60).Main results: Socioeconomic segregation was higher in London than in Helsinki. Age and sex adjusted differences in self rated health between neighbourhoods were also greater in London. Independent of individual socioeconomic position, neighbourhood unemployment, proportion of residents in manual occupations, and proportion of single households were associated with health. In pooled data, residence in a neighbourhood with highest unemployment was associated with an odds ratio of less than good self rated health of 1.51 (95% CI 1.30 to 1.75). High rates of single parenthood were associated with health in London but not in Helsinki.Conclusions: Neighbourhood socioeconomic context was associated with health in both countries, with some evidence of greater neighbourhood effects in London. Greater socioeconomic segregation in London may have emergent effects at the neighbourhood level. Local and national social policies may reduce, or restrict, inequality and segregation between areas

Do good health and material circumstances protect older people from the increased risk of death after bereavement?

This is an open access Article. Copyright @ 2012 The AuthorsAn increased risk of death in persons who have suffered spousal bereavement has been described in many populations. The impact of modifying factors, such as chronic disease and material circumstances, is less well understood. The authors followed 171,120 couples 60 years of age or older in a United Kingdom primary care database between 2005 and 2010 for an average of 4 years. A total of 26,646 (15.5%) couples experienced bereavement, with mean follow up after bereavement of 2 years. In a model adjusted for age, sex, comorbid conditions at baseline, material deprivation based on area of residence, season, and smoking status, the hazard ratio for mortality in the first year after bereavement was 1.25 (95% confidence interval: 1.18, 1.33). Further adjustment for changes in comorbid conditions throughout follow up did not alter the hazard ratio for bereavement (hazard ratio = 1.27, 95% confidence interval: 1.19, 1.35). The association was strongest in individuals with no significant chronic comorbid conditions throughout follow up (hazard ratio = 1.50, 95% confidence interval: 1.28, 1.77) and in more affluent couples (P = 0.035). In the first year after bereavement, the association between bereavement and death is not primarily mediated through worsening or new onset of chronic disease. Good health and material circumstances do not protect individuals from increased mortality rates after bereavement.This study was funded by a grant from the Dunhill Medical Trust

Making Pictures, Writing about Pictures, Discussing Pictures and Lecture-Discussion as Teaching Methods in Art History

This article discusses making pictures, writing about pictures, discussing pictures, and lecture-discussion as methods of teaching art history in Finnish Upper Secondary Vocational Education and Training (Qualification in Visual Expression, Study Programmes in Visual and Media Art Photography). A total of 25 students majoring in Visual Expression participated in the research by studying art history using picture-based–visual and verbal–methods and reflecting on their learning experiences. This article introduces the concept of ‘contextual subject-related didactics,’ by which conceptions of contemporary art history, together with the objectives and aims of the curriculum, guide the choice of teaching methods. The article argues that various picture-based teaching methods intertwine reason and emotion, generating profound learning experiences in the field of art history, and developing knowledge of art history and the skills requires to act on the basis of such knowledge

Trends in mortality by labour market position around retirement ages in three European countries with different welfare regimes

<p>Objectives: In the face of economic downturn and increasing life expectancy, many industrial nations are adopting a policy of postponing the retirement age. However, questions still remain around the consequence of working longer into old age. We examine mortality by work status around retirement ages in countries with different welfare regimes; Finland (social democratic), Turin (Italy; conservative), and England and Wales (liberal).</p> <p>Methods: Death rates and rate ratios (RRs) (reference rates = ‘in-work’), 1970 s–2000 s, were estimated for those aged 45–64 years using the England and Wales longitudinal study, Turin longitudinal study, and the Finnish linked register study.</p> <p>Results: Mortality of the not-in-work was consistently higher than the in-work. Death rates for the not-in-work were lowest in Turin and highest in Finland. Rate ratios were smallest in Turin (RR men 1972–76 1.73; 2002–06 1.63; women 1.22; 1.68) and largest in Finland (RR men 1991–95 3.03; 2001–05 3.80; women 3.62; 4.11). Unlike RRs for men, RRs for women increased in every country (greatest in Finland).</p> <p>Conclusions: These findings signal that overall, employment in later life is associated with lower mortality, regardless of welfare regime.</p&gt

The effects of socioeconomic and cultural characteristics of regions on the spatial patterns of the Second Demographic Transition in Finland

The article studies to what extent regional socioeconomic and cultural characteristics explain spatial patterns in the Second Demographic Transition in Finland. The country’s 75 functional regions are used as area units. A summary indicator of the transition based on divorce and cohabitation is used as the dependent variable. The results show that the spatial pattern is mainly determined according to the regional level of urbanization, but the effect is mediated by cultural characteristics (secularization and support for the socialist and green parties). The cultural characteristics have only a modest independent effect.cohabitation, cultural factors, divorce rate, regional differences, second demographic transition, socioeconomic factors

Quantum fluctuations of a vortex in an optical lattice

Using a variational ansatz for the wave function of the Bose-Einstein condensate, we develop a quantum theory of vortices and quadrupole modes in a one-dimensional optical lattice. We study the coupling between the quadrupole modes and Kelvin modes, which turns out to be formally analogous to the theory of parametric processes in quantum optics. This leads to the possibility of squeezing vortices. We solve the quantum multimode problem for the Kelvin modes and quadrupole modes numerically and find properties that cannot be explained with a simple linear-response theory.Comment: final version, minor change

Superfluid phases of fermions with hybridized ss and pp orbitals

We explore the superfluid phases of a two-component Fermi mixture with hybridized orbitals in optical lattices. We show that there exists a general mapping of this system to the Lieb lattice. By using simple multiband models with hopping between $s$ and $p$-orbital states, we show that superfluid order parameters can have a $\pi$-phase difference between lattice sites, which is distinct from the case with hopping between $s$-orbitals. If the population imbalance between the two spin species is tuned, the superfluid phase may evolve through various phases due to the interplay between hopping, interactions and imbalance. We show that the rich behavior is observable in experimentally realizable systems.Comment: 13 pages, 11 figures. Published versio

Socioeconomic Inequalities in Mortality Rates in Old Age in the World Health Organization Europe Region

Socioeconomic adversity is among the foremost fundamental causes of human suffering, and this is no less true in old age. Recent reports on socioeconomic inequalities in mortality rate in old age suggest that a low socioeconomic position continues to increase the risk of death even among the oldest old. We aimed to examine the evidence for socioeconomic mortality rate inequalities in old age, including information about associations with various indicators of socioeconomic position and for various geographic locations within the World Health Organization Region for Europe. The articles included in this review leave no doubt that inequalities in mortality rate by socioeconomic position persist into the oldest ages for both men and women in all countries for which information is available, although the relative risk measures observed were rarely higher than 2.00. Still, the available evidence base is heavily biased geographically, inasmuch as it is based largely on national studies from Nordic and Western European countries and local studies from urban areas in Southern Europe. This bias will hamper the design of European-wide policies to reduce inequalities in mortality rate. We call for a continuous update of the empiric evidence on socioeconomic inequalities in mortality rate

Noise correlations of the ultra-cold Fermi gas in an optical lattice

In this paper we study the density noise correlations of the two component Fermi gas in optical lattices. Three different type of phases, the BCS-state (Bardeen, Cooper, and Schieffer), the FFLO-state (Fulde, Ferrel, Larkin, and Ovchinnikov), and BP (breach pair) state, are considered. We show how these states differ in their noise correlations. The noise correlations are calculated not only at zero temperature, but also at non-zero temperatures paying particular attention to how much the finite temperature effects might complicate the detection of different phases. Since one-dimensional systems have been shown to be very promising candidates to observe FFLO states, we apply our results also to the computation of correlation signals in a one-dimensional lattice. We find that the density noise correlations reveal important information about the structure of the underlying order parameter as well as about the quasiparticle dispersions.Comment: 25 pages, 11 figures. Some figures are updated and text has been modifie